| Positive Counseling Center | |
|
2138 Fairhill Dr Rancho Palos Verdes CA 90275-1310 | |
| (310) 508-9531 | |
| (888) 345-6044 |
| Full Name | Positive Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 2138 Fairhill Dr, Rancho Palos Verdes, California |
| Authorized Official Name and Position | Alicia Ann Macgowan (PSYCHOTHERAPIST/PRESIDENT) |
| Authorized Official Contact | 3105089531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Counseling Center 916 N Western Ave Ste 205 San Pedro CA 90732-2435 Ph: (310) 508-9531 | Positive Counseling Center 2138 Fairhill Dr Rancho Palos Verdes CA 90275-1310 Ph: (310) 508-9531 |
| NPI Number | 1861644759 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 07/30/2019 |
| Medicare PECOS PAC ID | 5597827584 |
|---|---|
| Medicare Enrollment ID | O20081230000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861644759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21303 (California) | Primary |
| Provider Name | Alicia Macgowan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619157716 PECOS PAC ID: 8325100316 Enrollment ID: I20081230000110 |
| Provider Name | Eugenie Boiadjieva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841310240 PECOS PAC ID: 8325176324 Enrollment ID: I20100512000839 |
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